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FUNDS AGREEMENT REHABILITATION - EMERGENCY HOUSING I I AGREEMENT This Funds Agreement is made and entered into this ;;Z5~ day of (\('hJ8'M~ l'1"}id between the City of Clearwater, hereinafter referred to as the City, and Quest Inn, Inc., hereinafter referred to as the Agency. WHEREAS, it has been determined to be highly desirable and socially responsible to provide the Agency's services to those whose need for such services would not otherwise be met; and WI-IEREAS, the City desires to help those in need of the foregoing by providing funding for the aforementioned service; and WHEREAS, the Agency provides its services and operates in the City; NOW, THEREFORE, the parties agree as follows: ARTICLE I. TERM The term of this agreement shall be for a period of approximately 12 months commencing October 2, 1996 and continuing through the 3Cth day of September, 1997, (the Termination Date), unless earlier terminated under the terms of this agreement. ARTICLE II. RESPONSIBILITIES OF THE AGENCY 1. Services to be Provided. The Agency shall provide services in accordance with the proposal submitted by the Agency and approved by the City, which is incorporated herein by reference. 2. Area to be Served. Services rendered through this agreement shall be provided within the corporate limits of the City as it now exists and as its boundaries may be changed during the term of this agreement. 3. Scheduled Reports of Agency Activities. The Agency shall furnish the City Human Relations Department, Grants Coordinator, with an annual report of activities conducted under the provisions of this agreement within sixty days of the end of the Agency's fiscal year. Each report is to identify the number of clients served, the costs of such service, and commentary on the viability, effectiveness, and trends affecting the program. 4. Use and Disposition of Funds Received. Funds received by the Agency from the City shall be used to pay for services as delineated by the Agency in the aforementioned proposal. Funds existing and not used for this purpose at the end of the term of this agreement shall be deemed excess to the intended purpose and shall be returned to the City. aa:1ft:r- 00 --() /! 'V() (2) , , I I 5. Creation, Use and Maintenance of Financial Records. a. Creation of Records. Agency shall create, maintain and make accessible to authorized City representatives such financial and accounting records, books, documents, policies, practices, and procedures necessary to reflect fully the financial activities of the Agency. Such records shall be available and accessible at all times for inspection, review, or audit by authorized City personnel. b. Use of Records. Agency shall produce such reports and analyses that may be required by the City and other duly authorized agencies to document the proper and prudent stewardship and use of the monies received through this agreement. c. Maintenance of Records. All records created hereby are to be retained and maintained for a period not less than five (5) years from the termination of this agreement. 6. Non-discrimination. Notwithstanding any other provision of this agreement, during the term of this agreement, the Agency for itself, agents and representatives, as part of the consideration for this agreement, does covenant and agree that: a. No Exclusion from Use. No person shall be excluded from participation in, denied the benefits of, or otherwise be subjected to discrimination in the operation of this program on the grounds of race, color, religion, sex, handicap, age, or national origin. b. No Exclusion from Hire. In the management, operation, or provision of the program activities authorized and enabled by this agreement, no person shall be excluded from participation in or denied the benefits of or otherwise be subject to discrimination on the grounds of, or otherwise be subjected to discrimination on the grounds of race, color, religion, sex, handicap,age, or national origin. c. Inclusion in Subcontracts. The Agency agrees to include the requirement to adhere to Title VI and Title VII of the Civil Rights Act of 1964 in all approved sub-contracts. d. Breach of Nondiscrimination Covenants. In the event of conclusive evidence of a breach of any of the above non-discrimination covenants, the City shall have the right to terminate this agreement. 7. Liability and Indemnification. The Agency shall act as an independent contractor and agrees to assume all risks of providing the program activities and services herein agreed and all liability therefore, and shall defend, indemnify, and hold harmless the City, its officers, agents, and employees from and against any and all claims of loss, liability, and damages of whatever nature, to persons and property, including, without limiting the 2 I I generality of the foregoing, death of any person and loss of the use of any property, except claims arising from the negligence or willful misconduct of the City or City's agents or employees. This includes, but is not limited to, matters arising out of or claimed to have been caused by or in any manner related to the Agency's activities or those of any approved or unapproved invitee, contractor, subcontractor, or other person approved, authorized, or permitted by the Agency in or about its premises whether or not based on negligence. ARTICLE ill. RESPONSIDILmES OF THE CITY 1. Grant of Funds. The City agrees to provide a total grant of Five Thousand Dollars ($5,000.00) to fund the program in accordance with this agreement. 2. Payments. The total amount requested will be paid by the City to the Agency within 30 days after execution of this agreement by the City and the Agency but no earlier than October 1 of the budget year for which the funds are authorized. ARTICLE IV. DISCLAIMER OF WARRANTIES This Agreement constitutes the entire Agreement of the parties on the subject hereof and may not be changed, modified or discharged except by written Amendment duly executed by both parties. No representations or warranties by either party shall be binding unless expressed herein or in a duly executed Amendment hereof. ARTICLE V. TERMINATION 1. For Cause. Failure to adhere to any of the provisions of this agreement in material respect shall constitute cause for termination. This agreement may be terminated with 30 day notice. 2. Disposition of Fund Monies. In the event of termination for any reason, monies made available to the Agency but not expended in accordance with this agreement shall be returned to the City. ARTICLE VI. NOTICE Any notice required or permitted to be given by the provisions of this agreement shall be conclusively deemed to have been received by a party hereto on the date it is hand- delivered to such party at the address indicated below (or at such other address as such party shall specify to the other party in writing), or if sent by registered or certified mail (postage prepaid), on the fifth (5th) business day after the day on which such notice is mailed and properly addressed. 3 . ~ I 1. If to Agency, addressed to: 2. If to City, addressed to: I (Type or print Agency address here.) Grants Coordinator Human Relations Department P.O. Box 4748 Clearwater, FL 34618-4748 ARTICLE VIT. EFFECTIVE DATE The effective date of this agreement shall be as of the second day of October, 1996. IN WITNESS WHEREOF, the parties hereto have set their hands and seals this ~hay of ~~ , 1996. Approved as to form and legal sufficiency: Witnesses as to Agency: ~~~Iit ~~~~~~~~O CITY OF CLEARWATER, FLORIDA By: z;t, fJ?::r Cit&ana r Attest: ~~~ 2: ~ ia E. Goudeau, City Clerk :;tfHUY~~'"><'" / resIdent Attest: LJ~bd 4! /~.<~/ ,<LL[eL~.'-7 (,./ V -- -,-. 4 -~..,"",--_....- I I I I : I' I I I I I I I I I I I I-~ I I I I , - - ,--- --~- ,-n-1. n:" ~ r \ i.' . CITY O~ CLEARWATBa SOCIAL SBaVICBS GRAI1'1' AP?-. 26 PROJBCT APPLICATIOII !'ORK ;"0 '---"-"T Phone: (813) 462-6884 for assistance Due: 5:00 P.M. April 26,1996 A. Application Info~tion Applicant: (Sponsor/Developer) Organization Name: (If different) Quest Inn, Inc. Quest Inn, Inc. Address: 509 N. Ft. Harrison Ave. City; State; Zip Telephone Number: Clearwater, Florida 34615 (813) 443-2067 Contact Person: Suzanne Bissett Title: Program Director Telephone Number: 443-2067 Period for which funds are being requested: 1996-1997 signature ~ ~ ~. J <4. ~ Georgia Jensen, President ~ t/ Board of Directors Chairperson Date April 22, 1996 BOTB: The City of Clearwater reserves the right to fund applicants at a level lower than requested. :" 2 I .. Activity (Cb.ck One) Adult crime Child Abuse Elderly Hunger Juvenile crime Physical Illness Parenting Adolescents substance Abuse unsupervised Children Youth Development other X (DeScribe Below) I ~, Homeless Shelter, self-help program. I I I I I I I I I I I I I I I I I I I . .-.... ~ 3 I I I .. .- 'l- I I I C. ANOUHT OF FUHDIRG CURRENTLY RBQUESTEDa (Not to exceed $10,000) $10,000.00 D. 8PECIFICALLY POR WBA~ WILL TRI8 KORBY 88 V88O. (Line item budget for this amount) We are requesting $10,000.00. This money would be used for operating expenses i.e. Utilities. Budget line items that this grant would be used for . FL. Power- $6,200.00 City of Clwr. - $7,500.00 8. 8RIBP DBSCRIPTIOR OF PROJECT YOU WISB TO PUHD UTILIIIRQ TRI8 GRAft. We are a self-help program, providing food, shelter, clothing, personal hygiene items, help in finding employment and crisis intervention counciling. We house both men & women and provide a safe clean environment for our clients in order for them to get back on their feet. F. 8RIBP DB8CRIPTIOR OF YOUR OVBPT.L ORQAlfIIATIOR. Quest Inn, Inc. is a community-based community funded non-profit. We are under the umbrella of Religious Community Services Inc. and have been providing emergency housing for over 20 years. We have a board of Directors made up of members of RCS congregatio; and other interested community groups. :" 4 I I 8. HUHBBR or CLIBHT8 8ERVED BY ~BI8 'ROGRAM. 398 Clients annually. B. 'BRCBII'1'AGE or 'l'IIES8 CLIIDI'1'8 no UE CI'1'IIDS or CLBUO'1'D. 75% I. CURRD1'I OVB1lALL ORGUIIA'1'IOII BUOGB'!' ('LDSB ATTACH). $85,000.00 J. If '1'BIS I. .'1'U'1' UP OR D'1'CHIIIG KORBY, S'BeIry '1'118 DftAILS lei nIeB AGDCY OR ORGUIIA'1'IOII WILL 'ROVIDB '1'B8 D!'CII, '1'118 R8QUIRBKD1'I. HI) '1'118 DOon or '1'BB D'l'CII. , , HIA It. I. YOUR AGDCY A RBGIS'1'BRBD 501 (C) (3) 1I0II-'ROI'I'1' AGDCY OR III '1'IIB 'ROCB.. 0.. BBCOIIIIIG OR8. Yes L. DOBS YOUR "ACILITY Dn OR I. I'l' III !'lIB 'ROCBSS or ACQUIRIIIG '1'IIB AP'RO'RIATB LICDSORB rOR '1'BB DBLrvBRY or '1.B S...xCBS DBSCRIBBD 18 '1'BIS A"LICA'II08. Yes :":", 5 I I I I I I I I I I I I I I I I I.~ I I I I QUEST INN, INC. PROPOSED BUDGET FISCAL YEAR 1995/1996 REVISED EXPENSES: SALARIES PAYROLL TAX RETIREMENT HEALTH INSURANCE DIRECT AID TO CLIENTS FEMA CONSUMABLES FEMA FOOD IN KIND DONATIONS TRAVEL (EMPLOYEE) TELEPHONE OFFICE EXPENSES: POSTAGE PRINTING SUPPLIES UTILITIES: FLORIDA POWER CITY OF CLWR. MAINTENANCE & REPAIR: BUILDING EQUIPMENT GROUNDS FIRE & LIABILITY INS. DUES CONTRACT SERVICES: COMM. FIRE PROTECTION PEST CONTROL MISCELLANEOUS HOUSE PINS CAPITAL EQUIPMENT AUDIT $ 35.200.00 2,600.00 2,000.00 4,000.00 6,500.00 6,500.00 3,000.00 100.00 2,000.00 200.00 100.00 400.00 5,500.00 6,500.00 2,500.00 650.00 100.00 2,500.00 100.00 $ 200.00 360.00 200.00 1,200.00 600.00 2,000.00 85,010.00 ANTICIPATED INCOME: PINELLAS COUNTY CITY OF CLEARWATER UNITED WAY FEMA RCS GRANT CONTRIBUTIONS HOUSE PINS IN KIND DONATIONS $ 16,000.00 5,000.00 13,000.00 12,000.00 34,010.00 2,000.00 3,000.00 $ 85,010.00 :"